体位对CT仿真结肠镜成像影响实验探究.docVIP

体位对CT仿真结肠镜成像影响实验探究 　［摘要］　目的：探讨体位对结肠隆起性病变CT仿真结肠镜(CT virtual colonoscopy,CTVC)成像的影响。方法：取长约20 cm的猪结肠16段，每段制作直径2 mm～10 mm的息肉模型各6个。结肠适度充气并注入1 mm～2 mm高的水后，行螺旋CT扫描。每一肠段均扫描2次，使模拟病灶分别位于近地壁和远地壁上。分析两种位置下CTVC病灶的显示效果和检出率。结果：远地壁上模拟息肉显示效果优于近地壁上(Uc=5.998，Plt;0.01)；远地壁上模拟息肉检出率高于近地壁上(分别为100％和75％)(χ2=27.43，Plt;0.01)。结论：多体位扫描提高了结肠隆起性病变的CTVC显示效果和检出率。　　［关键词］　体层摄影术；X线计算机；图像处理；计算机辅助；内窥镜检查；体位；结肠 　　The Experimental Study of CT Virtual Colonoscopy;Effect of Scanning In Both the Supine and Prone Positions 　　Abstract:Objective To evaluate the effectiveness of CT virtual colonoscopy for colorectal masses in both the supine and prone positions．Methods Sixteen approximately 20cmlong sections of fresh pig colon were resected as experimental model with 6 artificial mass lesions ranging from 2mm to 10mm in diameter per section．Spiral scanning was performed after appropriately distended by introduction of air and water．Each section was scanned twice．Simulated polyps were located the distal and proximal wall alternatively to study the imaging effect and detection rate in two positions．Results The imaging effect of the distal wall was better than that of the proximal wall(uc=5.998，Plt;0.01)．Detection rate of simulated polyps was 100％，75％ in the distal and proximal wall，respectively(χ2=27.43，Plt;0.01)．Conclusion Use of multipositions scanning improves imaging effect and detection rate of CT virtual colonoscopy for colorectal masses． 　　Key words:Tomography;Xray computed；Image processing;computer assisted；Endscopy；Body position；Colon 　　 　　CT仿真结肠镜(CT Virtual Colonoscopy,CTVC)是一项无创性虚拟显示结肠内腔及内表面的三维CT成像技术，国内外学者对此进行了有益的探讨［1～5，7］,但有关体位对结肠隆起性病变CTVC成像影响的实验研究少见报道。本实验旨在分析和研究结肠不同部位隆起性病变CTVC的显示效果和检出率，为临床选择合适的扫描体位提供参考。 　　1　材料和方法 　　1.1　结肠隆起性病变模型的制作　选取新鲜猪离体结肠16段，每段长约20 cm，里外清洗干净，翻出结肠黏膜面，将自制的模拟息肉用4#医用真丝编织线缝扎上去。模拟息肉由YJF仿生义齿基托树脂和MB自凝牙托水K40726调匀制成，中间穿一小孔，制成后呈粉红色。每段缝6枚，直径分别为10 mm、7 mm、5 mm、4 mm、3 mm、2 mm，间距2 cm～3 cm，随机排列，16段总计96枚。再翻出浆膜面，结扎一端，另一端插入由废弃的血压计和带气囊肛管制成的压力仪，注入空气使结肠适度充盈，并注入1 mm～2 mm高的水后扎紧，模拟人体生理状况下肠道准备后条件。 　　1